Director of Nursing Policy, Standards and Accreditation

See your work in a new light.

At LUX Infusion, we’re reimagining infusion care to be more human, supportive, and connected.

Inspired by lux—meaning light— we guide patients, providers, and partners through complex therapies with clarity, compassion, and confidence.

As a clinician‑led, U.

S.‑based organization, we put people first—helping patients feel seen and supported through faster therapy starts, dedicated care coordination, and meaningful collaboration.

Company Overview

LUX Infusion is a nationwide, independently‑owned infusion company with decades of experience supporting patients on specialty medication.

Our compassionate care team helps patients navigate the often‑challenging healthcare environment.

We treat our patients like family and get them started on therapy quickly.

We work closely with them, their families, and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes.

We are committed to inclusion, diversity, equity, and advancement (IDEA) and aim to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated.

Location & Travel

Remote within the continental United States with up to 40% annual travel required. Status and location subject to change based on business needs.

Job Description

The Director of Nursing Policy, Standards, and Accreditation ensures all company ambulatory infusion centers (AICs), ambulatory infusion suites (AISs), and home infusion nursing maintain continuous compliance with all applicable nursing accreditation and regulatory standards.

The role oversees audit readiness, coordinates accreditation activities, and collaborates closely with nursing operations leadership to integrate standards into daily operations.

Responsibilities include participating in standards development, conducting site visits, providing educational instruction through workshops, managing nursing policy and procedure, and serving as the company’s subject‑matter expert in nursing accreditation compliance.

Supports accreditation services staff in completing scheduled work on time in accordance with company policies and procedures and provides strategic oversight for accreditation, policy, and quality services.

Includes monitoring, evaluating, and implementing continuous quality improvement.

Provides clinical guidance to management and operational leadership with responsibility for oversight of the Performance Improvement and Quality Management Committee program.

• Qualification Requirements
• Current, unrestricted Registered Nurse (RN) license (multi‑state/compact preferred)
• Bachelor of Science in Nursing (BSN) required; MSN or advanced degree preferred
• A minimum of five (5) years of experience in a healthcare organization with quality, compliance, and accreditation leadership
• Minimum of three (3) years of administrative experience developing and writing accredited applications and policies
• Demonstrated experience managing multi‑site accreditation efforts and maintaining continuous audit readiness
• Deep knowledge of and experience with ACHC and/or URAC standards
• Strong knowledge of state and federal nursing regulations
• Excellent verbal, written, and presentation skills
• Operational or clinical experience with ambulatory infusion centers (AICs), ambulatory infusion suites (AISs), and home health care services
• Experience with clinical quality programs and performance improvement initiatives
• Experience providing customer service to internal and external customers, including meeting quality standards for services and evaluating customer satisfaction
• Problem‑solving, judgment, and research skills to handle complex procedures and recommend actions where no precedents exist
• Intermediate level skill in Microsoft Office (Word, Excel, Power Point, etc.)

Qualifications Preferred

• Strongly preferred experience with NICA and ACHC accreditation
• Experience with other accrediting bodies such as Joint Commission, NABP, etc. preferred
• Experience at director or manager level in the infusion and/or specialty pharmacy, ambulatory infusion center or suite, or home care industry preferred
• Master’s or other advanced degree preferred
• Strong knowledge base in infusion therapies (chronic, specialty, and acute therapies)

Essential Functions and Responsibilities

• Serve as the primary accreditation lead for all applicable nursing accreditation programs
• Develop and deliver workshops for facilities, programs, and site visitors
• Coordinate accreditation services staff to update documents (applications, worksheets, accreditation manual, policy manual)
• Review and implement accreditation standards
• Serve as the primary point of contact for assigned applications
• Communicate with applicants using positive customer‑relations skills
• Analyze applicants’ submitted documentation using accreditation scoring methodology to determine eligibility for proceeding with the accreditation processes and issue written Desktop Review Summaries
• Discuss findings with applicants and LUX Infusion in an educational manner
• Draft and submit executive summaries and present findings to accreditation committees and LUX Infusion
• Conduct required follow‑up activities of applicants such as onsite reviews
• Report delays in timely processing of applications to the Compliance and Privacy Officer and Senior Vice President of Nursing
• Provide technical support and advice to accrediting bodies and standards committees
• Participate in nursing standards development/revision for the specific program
• Partner with nursing and ambulatory infusion center/suite leaders to embed accreditation requirements into standard workflows
• Lead development, maintenance, and approval process for all nursing‑related policies and procedures
• Manage accreditation and policy integration during new mergers or acquisitions, ensuring seamless compliance alignment
• Plan, prepare, and lead internal audits and mock surveys; develop and oversee corrective action plans
• Conduct regular on‑site visits to verify compliance and provide operational support
• Act as the primary liaison with accrediting organizations, responding to inquiries, preparing required documentation, and coordinating site surveys
• Oversee performance improvement/quality management initiatives related to accreditation compliance
• Provide regular reports to the Compliance & Privacy Officer on accreditation status, identified risks, and improvement initiatives
• Supervisory Responsibility: Oversee AIC and Nursing Accreditation Specialist(s) and Quality Specialist(s)
• Non‑Essential Functions & Responsibilities
• Collaborate with interdisciplinary teams including physicians, pharmacists, and administrators
• Communicate effectively and work collaboratively with other healthcare professionals, clients, and stakeholders
• Maintain membership in professional societies and organizations
• Prioritize and handle multiple tasks and projects concurrently
• Have scheduling flexibility and be able to work overtime and on‑call coverage
• Travel overnight by car and airplane
• Maintain careful attention to detail
• Perform related duties as requested
• Participate in quality assurance activities and audits as directed
• Knowledge, Skills and Abilities Requirements
• Strong leadership presence with the ability to inspire confidence, foster trust, and serve as an approachable resource to staff at all levels
• Consultative style, guiding cross‑functional teams, influencing stakeholders, and driving alignment on complex issues
• Exceptional interpersonal and communication skills, presenting ideas clearly, listening actively, and adapting style to diverse audiences
• Build and maintain collaborative partnerships, both internally and externally, to achieve organizational goals
• Manage through ambiguity, balancing competing priorities, and facilitating consensus in fast‑paced environments
• High emotional intelligence, focusing on empathy, integrity, and cultivating a positive organizational culture
• Knowledge of nursing, drug, and related state laws along with prescription monitoring programs
• Knowledge of basic nursing sciences (anatomy, biology, physics)
• Knowledge of accreditation requirements, processes, and ability to write and implement policies and procedures
• Apply safety and efficiency in prescribing, dispensing, administering, and using drugs to prevent illness and maintain health
• Analyze and understand physicians’ or other recognized medical personnel’s orders involving standard symbols and terminology
• Maintain accurate records and prepare reports and correspondence related to the work
• Oversee nursing operations of multiple branch locations
• Advanced reasoning, analysis, reading, writing, and speaking skills
• Handle conflict and exercise sound judgment
• Think and act strategically and proactively
• Maintain favorable public relations
• Organize and coordinate the work of others
• Set priorities and assign work to other professionals
• Excellent analytical skill
• Communication Skills
• Oral Communication: Speaks clearly and persuasively; listens; responds well to questions; demonstrates group presentation skills; participates in meetings
• Written

Communication: Writes clearly and informatively; edits for spelling and grammar; varies style to meet needs; presents numerical data effectively; reads and interprets written information

• Computer Skills
• Proficient in all programs necessary for execution
• Pay Range/Rate
• Physical Demands

The physical demands described here represent those required for an employee to successfully perform the essential functions of this role.

Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

While performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear.

The employee may also be required to occasionally lift and/or move up to 25 pounds.

Specific vision abilities required by this role include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

• Other Requirements
• Participate annually in required legal and ethical compliance training
• Consistently act in compliance with LUX Infusion’s legal, ethical, and compliance policies
• Adhere to all standards and procedures outlined in the LUX Infusion Compliance Manual
• Refrain from any behavior that could be considered unethical or unlawful

Expectations for All Employees

All LUX Infusion team members are expected to support the organization’s mission, vision, and values by demonstrating integrity, dedication, compassion, and enthusiasm.

This includes placing patients first, working collaboratively with a “stacked‑hands” mindset, and maintaining a consistent focus on quality, accountability, and continuous improvement.

General Information

The statements above are intended to describe the general nature and level of work performed by individuals in this role.

They are not intended to be an exhaustive list of all responsibilities, duties, and skills required.

This role operates in a fast‑paced environment and requires the ability to prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate.

Employees in this position may be required to assist directly—or coordinate appropriate assistance—to ensure access to LUX Infusion’s services for individuals with disabilities, including patients, visitors, employees, or others.

LUX Infusion is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.

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